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Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... Stable fractures ... : Don't cause spinal ... deformity or neurologic ... #Orthopedics #diagnosis
Webber Ankle Injury Classification

A: In a Supination-Adduction injury the fibula breaks first, with a fracture below
Classification ... appear to be a stable ... and easy way to differentiate ... #Diagnosis #Orthopedics ... #Fracture #Classification
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Musculoligamentous injury ... arthritis of the spine ... #Diagnosis #causes ... #primarycare #table
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... findings BPPV • Short-lived ... positional episodes caused ... posterior canal) or supine ... Vertigo #Algorithm #differential
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
- Emergency Causes ... • Provocative Tests ... absent anal wink test ... #diagnosis #causes ... #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Neurologic deficit ... Neurologic injuries ... (25%) TEST FOR: ... trauma/vascular/orthopedic
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... bradycardia → sine ... Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table